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Loan Waiver and Deferral Application
U.S. Repatriation Program Forms
OMB: 0970-0474
IC ID: 218655
OMB.report
HHS/ACF
OMB 0970-0474
ICR 202602-0970-008
IC 218655
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Loan Waiver and Deferral Application
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
RR-03
Loan Waiver and Deferral Application
RR-03 Loan Waiver and Deferral Application (2).docx
Yes
Yes
Fillable Printable
Form and Instruction
RR-03
Loan Waiver and Deferral Application - Arabic
RR-03 Loan Waiver and Deferral Application - STANDARD_0_ar 508.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
RR-03
Loan Waiver and Deferral Application - French
RR-03 Loan Waiver and Deferral Application - STANDARD_0_fr 508.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
RR-03
Loan Waiver and Deferral Application - Russian
RR-03 Loan Waiver and Deferral Application - STANDARD_0_ru 508.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
RR-03
Loan Waiver and Deferral Application - Simplified Chinese
RR-04 Routine Repatriation Reimbursement Request - STANDARD_zh_cn 508.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
RR-03
Loan Waiver and Deferral Application - Spanish
RR-03 Loan Waiver and Deferral Application - STANDARD_0_es_508.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
RR-03
Loan Waiver and Deferral Application - Traditional Chinese
RR-03 Loan Waiver and Deferral Application - STANDARD_0_zh_TW 508.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
OHSEPR Repatriation and Disaster Human Services Case Management Records 09–80–0389
FR Citation:
88 FR 63109
Number of Respondents:
100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
100
0
0
0
0
100
Annual IC Time Burden (Hours)
50
0
0
0
0
50
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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